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<br />ACORD'M 'CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) <br />07/07/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Cypress Insurance Group BO-CL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P.O. Drawer 9328 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Fort Lauderdale, FL 33310-9328 <br />954 771-0300 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: FCCllnsurance Group Inc. <br /> Shade Systems Inc, Fabmasters Indust. INSURER B: FL Retail Federation Self Insurers F <br /> Products Inc&Recreation Innovations Inc INSURER c: <br /> 4150 SW 19 St. INSURER D: <br /> Ocala, FL 34474 INSURER E: <br /> <br />Client#. 18071 <br /> <br />SHADESYS <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER PJ>l-t~~ri~r68'wIE Pg~fl(~X":~~N LIMITS <br />A GENERAL LIABILITY GLOO027835 05/13/08 05/13/09 EACH OCCURRENCE $1 000 000 <br />- <br /> lL 5MERCIAL GENERAL LIABILITY ~~~~~~J9F~';,~J.;'~nc.\ $100000 <br /> - CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5 000 <br /> lL PD Ded:500 PERSONAL & ADV INJURY $1 000.000 <br /> - GENERAL AGGREGATE $2 000.000 <br /> ~'L AGGREAE LIMIT APnS PER: PRODUCTS. COMP/OP AGG $2 000 000 <br /> PRO. <br /> POLICY JECT LOC <br />A ~TOMOBILE LIABILITY CAOO045615 05/13/08 05/13/09 COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $1,000,000 <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> lL HIRED AUTOS BODILY INJURY <br /> $ <br /> lL NON.OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~RAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> :=5ESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND 52032040 11/04/07 11/04/08 X IT~~N~~;,I 10TH. <br />ER <br /> EMPLOYERS' LIABILITY $1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? EL DISEASE. EA EMPLOYEE $1,000,000 <br /> If yes, describe under $1,000,000 <br /> SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Workers Compensation applies to Florida employees and operations only. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---1Q.... DAYS WRITTEN <br />5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Zephyrhills, FL 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ~.et 8, &nzd.., <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#S72530/M72011 <br /> <br />SM <br /> <br />@ ACORD CORPORATION 1988 <br />